Laparotomy - lena inqubo evamile kuhlinzwa noma ukuphazamiseka okuyingozi?

Laparotomy - eyohlinzwa okusho le imbobo kuhlinzwa we anterior udonga besisu. It has amanye amagama, ezifana nokuhlinzwa besisu, futhi bhekisa it ukuhlinzwa kwamathumbu. Ukubulawa isikhumba nemisipha imbobo ezidingekile uphenyo kanye nokwelashwa okwalandela ngalo ingaphakathi lesisu, futhi laparotomy kwenziwa ukuxilonga izinkinga ukuhlotshaniswa nobuhlungu besisu. Ngokuvamile, ukukhubazeka ezikhonjwe noma ngeziphambeko uqondiswa ngesikhathi ukusebenza, kodwa ngezinye izikhathi kudingeka futhi kabusha kokungenela.

Umlando nokuThuthukiswa

Igama ngesiGreki kusho laparotomy, okuyinto ihlose ukuhlinzeka ukufinyelela izibilini nokwelashwa okwalandela. Ezinsukwini ubudala ukusebenza laparotomy uyingozi kakhulu. Ukuze wakhe uzama hhayi ukusebenzisa nhlobo. Lokhu kungenxa ngokuyinhloko ukutheleleka ngoba odokotela abazange sazi ukuthi singaphila kanjani, abantu bayafa nje nalo. Kuphela ukuthuthukiswa antiseptics, odokotela bakwazi kakhulu ukunciphisa ukufa kwezingane iziguli futhi bakusebenzisa kanjani lokhu inqubo kaningi. Ukuthuthukiswa Its lihlotshaniswa igama Dzhozefa Listera, owayehola ukuhlinzwa ezingeni elilandelayo. Kodwa laparotomy yayingakakulungeli kuvame kakhulu. kusukela ngasekupheleni kwekhulu le-19 kuphela, imisebenzi efanayo yayiqhutshelwa kuyo yonke indawo. Lokhu iyona inqubo ezivame kakhulu zokwelapha, nokuthi ukuqeqeshwa okuwusizo ongoti iqala naye. Izinkinga ezihlobene izitho besisu uzimisele uhlelo lwayo lokusebenza. A amalungiselelo yesimanje isinqandakuvunda cishe aqede ukubukeka sepsis. Ngaphezu kwalokho, inqubo ezincane kuhlinzwa kushiya isibazi, nakuba ukuphulukiswa - inqubo eside.

izizathu

Ngokuvamile, ukuxilongwa abantu isetshenziswa esibhedlela nge ubuhlungu besisu, akakubangeli ukuxakeka. Inikezwe ngu- ukuhlolwa ejwayelekile kanye ultrasound, kodwa ngezinye izikhathi kunesidingo ukuze kuphenywe enemininingwane. Udokotela ohlinzayo kungase kudingeke ukunquma ngokunembile indawo intuthuko okungazelelwe izilonda (perforation), noma ukukhomba imbangela ukopha zangaphakathi. Laparotomy - indlela enhle kakhulu ukunquma izimbangela esiqondile izikhalazo womuntu bese babela ukuphathwa efanele.

ngaphambi kokuba sihlinzwe

Lapho udokotela unqume ukuqhuba lolu hlobo inqubo, kubalulekile ukuqoqa ulwazi okuningi okuwusizo mayelana nesineke. Ngakho-ke, ukuze ugweme nemiphumela ebuhlungu, uphendule le mibuzo udokotela ohlinzayo ngaphezulu evumelana ngangokunokwenzeka. Lokhu kusebenza futhi indlela ekhethekile zokuphila nemikhuba, ukuthola imithi noma ukudla. Ngaphambi kokuba ahlinzwe, udokotela yazisa isidingo eziningi izinqubo, futhi unika isibikezelo kwesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa. Laparotomy - ngokuyinhloko isenzo kwezitho yokusetshenziswa pheshana emathunjini, ngakho isiguli kumele sibe sesikhathini ukuzila ukudla, kanye-ke ungase ufake i enema. Ngaphezu kwalokho, obulala izinzwa kumele aqinisekise ukuthi umuntu ilungele ukusebenza.

Incazelo yenqubo

Zonke izenzo kwenziwe ngaphansi izinzwa jikelele. Udokotela ohlinzayo, ukuze aqinisekise ukubonakala zonke idinga izitho zangaphakathi, ukhiqiza cut eyodwa kuphela. Imithi, it is ikakhulukazi esetshenziswa ezimbili kuphela izigaba:

• Yokusetshenziswa, kanye imizila "bikini", kubhekwa yezimonyo, njengoba cishe hhayi kangako. eyohlinzwa okunjalo kwezinkolo kubizwa ngokuthi i-laparotomy phezu Pfannenstiel.
• Kuqondile, kusukela inkaba esibelethweni. Isetshenziselwa kuphela ezimweni eziphuthumayo, ngoba kulula kakhulu ukusebenzisa lodokotela.

Ngemva izidumbu ebonakalayo, benza kophenyo olunzulu. Uma udokotela ohlinzayo wakwazi ukulungisa inkinga, ukuxazulula ngokushesha, kodwa uma kwenzeka kuba eziyinkimbinkimbi, futhi kungenzeka uzohlinzwa okwesibili edingekayo. Lapho beqeda ukugqagqana ezivuzayo.

Isikhathi yezinkinga yokutakula futhi kungenzeka

Uma sibuyela isiguli ekamelweni, bayonikezwa umthamo izidakamizwa izinzwa, futhi bandaging nsuku zonke. Eyokuqala izinsuku ezimbili noma ezintathu, amandla kumele kwenziwe kuphela ekuphathweni emthanjeni eziwuketshezi. Ngemva kokuhlinzwa ngempumelelo kubalulekile udonsa kakhulu umoya futhi yokwelula imilenze ngemva kwesonto udinga ukwengeza izizinda iDemo. Laparotomy - lena hlobo lomsebenzi, lapho yokutakula iza kancane, kodwa ngokuqinisekile, ngokwesilinganiso inqubo ithatha komunye izinyanga unyaka nesigamu. Izinkinga awavamile. Lezi zihlanganisa ukutheleleka, ukopha, ukwakheka isibanda izicubu, ubuhlungu esiswini. Nakuba mithandazo kuhlobane ngokuqondile izinqubo isilonda sisheshe siphole. Ukuba khona isibazi ngezinye izikhathi ekukhathaza abantu, ikakhulukazi abesifazane, kodwa kulo mongo laparotomy ezinhle. Izibuyekezo zabantu emva kokuhlinzwa basikisela ukuthi isibazi encane. Kulula ukufihla. Kodwa abanjalo Pfannenstiel laparotomy ku engxenyeni eya phezulu okufanayo lingaphansi ukubukeka yobuhle. Kukhona uhlobo ezifanayo imisebenzi angadingi Imi, kodwa hhayi yonke imitholampilo angakwazi ukukhokhela izimpahla ezibizayo futhi ongoti abaqeqeshiwe abazokwazi ukubhekana naso.